Cardiology_Chest Pain Flashcards
1
Q
What conditions can cause cardiovascular chest pain?
A
- coronary artery disease
- aortic dissection
- pericarditis
- myocarditis
- valvular heart disease
2
Q
What conditions can cause musculoskeletal chest pain?
A
- Costochondritis
- rheumatoid arthritis
- fibromyalgia
- psoriatic arthritis
- fractures
- osteomyelitis
- septic arthritis
- sickle cell disease
3
Q
What conditions can cause musculoskeletal chest pain?
A
- Costochondritis
- rheumatoid arthritis
- fibromyalgia
- psoriatic arthritis
- fractures
- osteomyelitis
- septic arthritis
- sickle cell disease
4
Q
What conditions can cause pulmonary chest pain?
A
- Pulmonary embolism
- pleurisy
- pneumothorax
- pneumonia
5
Q
What are the clinical manifestations of costochondritis?
A
- Sharp pain that localizes to a specific area
- pain that lasts for hours to weeks
- pain worse with deep breathing
- chest wall tenderness to palpation
6
Q
Does tenderness to palpation rule out nonmusculoskeletal diseases?
A
No. Musculoskeletal diseases can coexist with life-threatening
7
Q
What is the management of costochondritis?
A
- Avoid any activity that exacerbates the pain
- topical pain medication (capsaicin, salicylate, nonsteroidal anti-inflammatories)
- oral nonsteroidal anti-inflammatories
8
Q
How long does costochondritis typically last?
A
2-4 weeks
9
Q
Describe the initial pathogenesis of atherosclerosis.
A
- Endothelial injury leads to
- increased leukocyte adhesion to the endothelium
- increased endothelial permeability, and
- endothelial release of hemostatic and vasoactive substances.
